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Income Taxes - Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($)
$ in Thousands
Dec. 31, 2022
Dec. 31, 2021
Deferred tax assets [Abstract]    
Compensation $ 1,464 $ 2,817
Allowance for credit losses 605 573
Lease obligations - including closed clinics 28,525 26,856
Deferred tax assets 30,594 30,246
Deferred tax liabilities [Abstract]    
Depreciation and amortization (23,836) (19,607)
Operating lease right-of-use assets (26,318) (24,637)
Gain on cash flow hedge (1,373) 0
Other (370) (387)
Deferred tax liabilities (51,897) (44,631)
Net deferred tax liability $ (21,303) $ (14,385)